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SPECIAL KID’S CORNER
News and Updates
From CSHCS of Ottawa County Spring/ Summer, 2014
From the Desk of Janine Chittenden, CSHCS Program Supervisor
There are new things emerging every spring and it’s good have winter’s snow and cold replaced by brightly
colored flowers, warm breezes, and lapping waves on our shores. I hope you are feeling encouragement in the
newness of life’s cycles and that your health is progressing positively. At Ottawa County, our vision is
healthy people and we strive to assure conditions in which all people can achieve optimum health. In CSHCS
our goal is to assist you with your special health care needs in accessing the appropriate medical care, health
education, and supports. We want to help.
This spring edition newsletter has information that may assist in reaching your health goals. Included are arti-
cles on travel benefits, SMART 911, Michigan’s Healthy Plan and the federal Affordable Care Act. We also
included an article on The Ottawa Way. All county employees attended to work towards providing exemplary
customer service.
We also are sporting new staff. If you live in the Holland and Zeeland areas, you have a new CSHCS
nurse, Kelsey DeMull. She joined our team May 12, 2014 just two weeks after receiving her Master’s in Pub-
lic Health from the University of Michigan. Kelsey is looking forward to meeting you. Should your primary
language be Spanish, she is conversationally fluent in Spanish! Kelsey lived in a rural area of Guatemala for
two years prior to attaining her MPH. Leslie Ver Duin, CSHCS RN, is your program nurse if you do not
reside in Holland or Zeeland area. Also, we moved our office to Holland.
We are located at 12251 James Street, Ste 400 in the red brick, green
roofed building! The last page has our new fax and phone numbers.
‘Special Kids Corner’: written
and edited by CSHCS staff. We
would love to hear from you at:
In This Special Kid’s Corner:
Left to right: Kelsey DeMull, Monique Carey, Janine Chittenden, Sandy Boven, Leslie Ver Duin, and Brenda Kempf.
Linda Smith is no longer with Ottawa County CSHCS but you may hear from her as she is a Case Manager for Priority Health, calling on CSHCS recipients. We hope
Parent Amy Fontaine returns in the near future to continue “Special Kids Corner”.
CSHCS Program Staff As you can see some faces are gone, while new faces have arrived.
Staffing Changes
The Ottawa Way Grant Update Travel Assistance SMART911
Healthy Michigan
Affordable Care Act
Staff Contact Information
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Improving Customer Service-The Ottawa Way
Have you heard of the New York Times Bestseller The Disney Way? In Ottawa County, Al Vanderberg,
County Administrator, supports all employees in providing excellent customer service the “Ottawa Way”. In
the spring of 2013, more than 1,100 county employees began Bill Capodagli and Lynn Jackson’s dynamic
training, where we learned not to wish upon a star but the ten key success secrets of the Disney Company. Us-
ing the County’s Customer Service Codes of Conduct, tools and a frame of mind were encouraged to deliver
appropriate and good customer service. It is referred to as the “Ottawa Way” and includes applying the
Golden Rule, creating a friendly and professional atmosphere, owning the problem and knowing (or seeking)
the answers, and creating a culture of service in which every customer is valued!
As always, the staff of the Children’s Special Health Care Services at your local health department strives to
provide family-centered service to enhance the quality of life and improve health outcomes for our clients and
their family. This is coupled with the County’s Vision of:
Equality: Treat all people with dignity and respect
Integrity: Uphold the highest level of ethical standards
Excellence: Provide the highest quality product, service and customer experience.
We understand that navigating a government system can feel daunting. In Ottawa County, we are here to as-
sist. You can expect a friendly, professional atmosphere where you are treated with integrity and respect.
Ottawa County leaders wish to recognize employees who exemplify this outstanding service to both internal
and external customers. Please take a moment to share your story with us by submitting the Outstanding Cus-
tomer Service Nomination Form at miOttawa.org. Look for Employee Recognition in the Human Resources
Department or http://www.miottawa.org/CustomerService/outstanding_service.htm
Family Center for Children and Youth with Special Health Care
Needs Grant Update
We are well on our way to meeting our community awareness goal. To
date we have meet with local pediatrician offices in Holland and Allendale
areas, Zeeland and Holland Hospitals, and the Holland School Nurses.
A big Thank You to our CSHCS parents that answered the call to review
our local policy; the majority of parents felt it would be easier to complete
this task by mail instead of attempting to coordinate everyone’s busy
schedules. This has been very successful. We have received honest and
insightful feed-back; which will be used to improve our methods of service
delivery to enrolled clients/families.
DO YOU HAVE A NEW
E-MAIL ADDRESS?
CSHCS uses e-mail to keep our
families updated about changes
in CSHCS policy and upcoming
community events. E-mail also
allows families to ask questions,
discuss issues, and to request
forms and information. Imag-
ine... no more phone tag, saving
trees, and more money to help
our CSHCS families.
Please update your e-mail
address with CSHCS today
at: [email protected].
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Smart911 is a free service that allows Ottawa County citizens to cre-
ate a Safety Profile for every member of their household that in-
cludes any information you want 9-1-1 to have in the event of an
emergency.
Information can include details about all family members, all landline and cell numbers, all addresses
including home, work and vacation homes.
You can include details about medical conditions, medications, allergies, physical or developmental dis-
abilities, vehicles, pets and emergency contacts.
You can register as much or as little as you want. You manage the information and the safety profile you create can
only be accessed by you. The information you provide is only available if a 9-1-1 call is made from one of the tele-
phones you register.
Register at: Smart911.com
CSHCS POLICY AND PROCEDURE
CHANGES AND REMINDERS
Travel Assistance Reminders
Can CSHCS help with transportation costs to specialty medical appointments?
The answer varies with your situation. If you have the financial means to meet this need, you are expected to do so.
Should you not be able to afford the transportation cost to your CSHCS approved provider, here are the guidelines.
If the enrollee has:
CSHCS and a Medicaid Health Plan (in Ottawa County: Priority Health, Molina, United HealthCare, Meridian, or
McLaren), it is a Medicaid benefit. Therefore, you must contact your MHP.
CSHCS and fee-for-service/straight Medicaid, it is a Medicaid benefit. Therefore, you must contact your DHS case
worker. Effective April 1, 2014 per MSA Bulletin 14-08 the medical transportation policy was modified to say
“When a client has resources available to provide transportation without reimbursement – either by his /her own
means or via family or friends – he/she is expected to do so….However, if the client informs the DHS worker that
transportation resources are not available, or that providing transportation without reimbursement is a financial hard-
ship, transportation should be approved regardless of whether or not the service has been provided without reim-
bursement in the past.”
CSHCS and MIChild, CSHCS and private insurance, or CSHCS only, it is a benefit of CSHCS. Therefore call your
local CSHCS Rep or Program Nurse if you need assistance to your CSHCS medically approved providers.
In all instances, transportation requests must be made prior to your medical appointment. A request for assistance
after the appointment will not be covered.
Should you have questions or concerns with transportation, your local CSHCS team is here to give guid-
ance.
Brenda Kempf , CSHCS Representative : 616 –393-4445 or email: [email protected]
Leslie Ver Duin , CSHCS Program Nurse : 616-393-4444 or email: [email protected]
Kelsey DeMull, CSHCS Program Nurse: 616-393-4442 or email [email protected]
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Healthy Michigan Plan Program Information and History The State of Michigan began accepting applications for the Healthy Michigan Plan on April 1, 2014. Michigan resi-
dents can enroll at any time online at www.michigan.gov/mibridges, by phone, or in person.
The Healthy Michigan Plan received approval from the Centers for Medicare and Medicaid Services on December 30, 2013. On September 16, 2013, Governor Rick Snyder signed into law Michigan Public Act 107 of 2013, which directs the creation of the Healthy Michigan Plan. The State of Michigan plans to make health care benefits available through the Healthy Michigan Plan in early spring 2014. The Healthy Michigan Plan provides health care coverage for individuals who:
Are age 19-64 years
Have income at or below 133% of the federal poverty level under the Modified Adjusted Gross income methodology
Do not qualify for or are not enrolled in Medicare
Do not qualify for or are not enrolled in other Medicaid programs
Are not pregnant at the time of application
Are residents of the State of Michigan
Eligibility for the Healthy Michigan Plan is determined through the Modified Adjusted Gross Income methodology, coordinated through the Department of Human Services. All criteria for the Modified Adjusted Gross Income eligibility must be met to be eligible for the Healthy Michigan Plan. Per federal requirement, individuals eligible for services under the Healthy Michigan Plan must have access to the following 10 Essential Health Benefits:
Ambulatory patient services
Emergency services
Hospitalization
Maternity and newborn care
Mental health and substance use disorder treatment services, including behavioral health treatment
Prescription drugs
Rehabilitative and facilitative services and devices
Laboratory services
Preventive and wellness services and chronic disease management
Pediatric services, including oral and vision care The Healthy Michigan Plan will cover other medically necessary services as appropriate. Healthy Michigan Plan participants may be subject to cost-sharing obligations. Copyright © 2001-2014 State of Michigan
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Affordable Care Act
Coverage options outside Open Enrollment
Open Enrollment for 2014 coverage is over. But you may still have options to get health coverage, including:
Buying a private health plan through the Marketplace — only if you qualify for a special enrollment period
Applying for Medicaid and the Children’s Health Insurance Program (CHIP) — you can do this any time, all
year
2 options: Apply with a special enrollment period or apply for Medicaid and CHIP
Special enrollment periods. Outside Open Enrollment you can enroll in a private health insurance plan through
the Marketplace only if you have a special enrollment period.
To qualify for a special enrollment period, one of the following must apply to you:
You have a qualifying life event like getting married, having a baby, moving to a new area, or losing other health
coverage.
You have a complex situation related to applying for coverage in the Health Insurance Marketplace. Learn more
about these special circumstances.
Learn more about both ways to qualify for a special enrollment period.
https://www.healthcare.gov/how-can-i-get-coverage-outside-of-open-enrollment/#part=2
If you think you qualify for a special enrollment period, start your Marketplace application now. The Marketplace
will tell you if you qualify.
Apply at https://www.healthcare.gov/marketplace/individual/
Medicaid and CHIP. Medicaid and the Children’s Health Insurance Program (CHIP) are joint state and federal
programs that provide coverage to millions of Americans with limited incomes and some people with disabilities.
There is no limited enrollment period for Medicaid and CHIP. You and your family can enroll in Medicaid and
CHIP any time during the year if you qualify.
Whether you qualify depends on what state you live in, your household size and income, or other factors including
pregnancy, family situation, and disability.
Your children could qualify for coverage through CHIP even if you don’t qualify for Medicaid.
Apply at https://www.mibridges.michigan.gov/access/
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CSHCS Staff Contact List
Brenda Kempf, CSHCS Representative Phone 616-393-4445 Fax 616-393-4435 E-mail [email protected] Leslie Ver Duin, CSHCS Nurse Phone 616-393-4444 Fax 616-393-4435 E-mail [email protected] Kelsey DeMull, CSHCS Nurse Phone 616-393-4442 Fax 616-393-4435 E-mail [email protected] Monique Carey, Support Staff Phone 616-393-4439 Fax 616-393-4435 E-mail [email protected] Janine Chittenden, CSHCS Supervisor Phone 616-393-4436 Fax 616-393-4435 E-mail [email protected]
Although all staff members can assist you with any question or need, specialty areas are listed here:
Contact Brenda for: Annual Renewals; Adding Provid-ers; Financial Concerns such as billing issues and signifi-cant income changes; Travel/lodging requests; and to schedule an appointment with your CSHCS nurse.
Contact your nurse if you have questions or issues regarding: Coverage; Medical Information; Plans of Care; and Adding New Medical Diagnosis. Leslie works in Grand Haven, Spring Lake, Allendale, Coopersville, Hudsonville and West Olive areas Kelsey works in Holland, Macatawa and Zeeland areas.
Contact Monique for changes in name, address, phone, e-mail, and insurance information, or to schedule an appointment with your CSHCS nurse.
Contact Janine for help with problems or questions that have not been able to be answered by other staff mem-bers.
The CSHCS Family Center Send an e-mail to:
or call:
The CSHCS Family Phone Line 8 a.m. to 5 p.m.
Monday -- Friday
1-800-359-3722
Family Support Network The parent-to-parent support arm of the
CSHCS Family Center
1-800-359-3722
CSHCS Online payment site: https://www.thepayplace.com/mi/dch/cshcs/challenge.aspx
Family-to-Family Health
Information & Education Center
(F2FHIEC) www.briges4kids.org/fc
1-800-359-3722
F2FHIEC Parent & Professional
Training Schedule: http://www.bridges4kids.org/f2f/training.htm
The Children with Special Needs Fund Online applications available at:
www.michigan.gov/csnfund
1-517-241-7420 For help with the application,
call your local CSHCS office,
or the CSHCS Family Center Phone Line
Helpful CSHCS Contact Information
